Individual
ASHLEY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NW 18TH AVE STE 400, PORTLAND, OR 97209-2516
(503) 228-1306
Mailing address
1926 W BURNSIDE ST UNIT 1304, PORTLAND, OR 97209-2080
(650) 455-1447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65453
OR
Other
Enumeration date
08/28/2024
Last updated
08/29/2024
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